HomeMy WebLinkAbout179181 11/11/2009 CITY OF CARMEL, INDIANA VENDOR: 363382 Page 1 of 1
ONE CIVIC SQUARE MEAGAN DECKER
CARMEL, INDIANA 46032 CHECK AMOUNT: $67.38
CHECK NUMBER: 179181
CHECK DATE: 11/11/2009
DEPARTMENT ACCOUNT PO NUMBER INVOIC NUM AMOUNT DESCRIPTION
,1046 4343004 REIMB 67.38 TRAVEL PER DIEMS
PRRSCRISED BY STATE BOARD OF ACCOUNTS GUMA -L FOAM 110. 101 419861
MILEAGE CLAIM
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IGOVERNi{ENTAL UNIT)
ON ACCOUNT OF APPROPRIATION NO- FOR
tOF74CY BOARD, DEPARTKENT OR INSTITUTION)
FROM TO SEEDING
DATE READ AUTO MILLE
I ING 7
POINT POINT START FINISH NATURE OF BUSINESS TRA ED
PER MILE
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0 val QTY 'i G
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AUTO LICENSE NO. TOTALS I 6
SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway map.
°1 Pursuant to the provisions and penalties of Chapter 155, Acts 1953, I hereby certify that the foregoing account is just and correct, that the amount claimed is fe a ue, after allow in just credits.-
end that no part of the same has been paid.
Date
0 vq
OCT 3 0 z
009
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
363382 Decker, Meagan Terms
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
10/30/09 Reimb. Mileage 10/1- 10/30/09 67.38
Total 67.38
1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
20_
Clerk- Treasurer
Voucher No. Warrant No.
363382 Decker, Meagan Allowed 20
In Sum of
67.38
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. 4CCT #/TITLE AMOUNT Board Members
Dept
1046 Reimb. 4343004 67.38 1 hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
5 -Nov 2009
Signature
67.38 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund